RED ROOFS SURGERY ONLINE SERVICES We are now offering an online service which enables patients to: *Access appointment booking/cancellations during and after surgery opening hours. *Request repeat medication *Receive reminder and confirmation messages sent by SMS (text) and e-mail PLEASE NOTE: PLEASE BE AWARE ALL CONFIRMATION AND CORRESPONDENCE MESSAGES WILL BE SENT TO THE GIVEN E-MAIL ADDRESS AND TELEPHONE NUMBERS. THIS WILL BE ACCESSABLE TO ANYONE USING THE GIVEN E-MAIL AND TELEPHONE NUMBERS eg: any family members who share the same e-mail and mobile numbers. A separate form is necessary for each family member who wishes to use this service. You will be responsible for your own password so please keep it safe. Any patients who are found to be misusing this service will have their account blocked. ********************************************************************************** IF YOU WOULD LIKE TO REGISTER FOR THIS SERVICE PLEASE COMPLETE YOUR DETAILS BELOW AND RETURN THE FORM TO THE SURGERY: Name: Date of birth: E-mail address: Mobile number: I have read and understand fully the conditions of online services Signed: Partners: Salaried GPs: Date: Dr M G Burnett . Dr H R Gorringe . Dr N Johnson . Dr E C Jesper . Dr R J Light Dr L Peet . Dr A Khan . Dr R Wilding . Dr J Lazar . Dr Y Ackbarally . Dr Y Mshonga